Adolescent nonsuicidal self-injury: examining the role of child abuse, comorbidity, and disinhibition.
Adolescent nonsuicidal self-injury: examining the role of child abuse, comorbidity, and disinhibition.
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DOI：
10.1016/j.psychres.2014.07.027
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发表时间：
2014-12-15
影响因子：
11.3
通讯作者：
Nock, Matthew K.
中科院分区：
文献类型：
--
作者：
Auerbach, Randy P.;Kim, Judy C.;Chango, Joanna M.;Spiro, Westley J.;Cha, Christine;Gold, Joseph;Esterman, Michael;Nock, Matthew K.
这项研究的目的是检查几个众所周知的非自杀性自伤（NSSI）的相关因素如何共同作用，以促进这种行为的发生。具体来说，我们检查了包括虐待儿童，精神病合并症和去抑制在内的模型，测试这些因素如何共同作用，导致过去一个月的NSSI。参与者（n=194; 144名女性;年龄13-18岁）从短期急性青少年住宅单位招募。在入院后48小时内，参与者完成了结构化的临床访谈，评估精神障碍和NSSI模式。访谈结束后，参与者完成了一份自我报告问卷，评估儿童虐待和计算机化的连续性能任务。与研究假设一致，结果显示，虐待儿童和NSSI之间的关联部分介导的合并症。虽然去抑制与合并症有关，与我们的假设相反，去抑制并不介导儿童虐待和NSSI之间的关系。总的来说，这些研究结果提供了关于合并症如何增加NSSI风险的新信息，并批判性地讨论了创建有针对性的计划以减少虐待儿童的患病率的潜在重要性。
The purpose of the study is to examine how several well-known correlates of nonsuicidal self-injury (NSSI) might work together to contribute to the occurrence of this behavior. Specifically, we examined models including child abuse, psychiatric comorbidity, and disinhibition, testing how these factors may work together to lead to NSSI in the past month. Participants (n=194; 144 female; age 13–18 years) were recruited from a short-term, acute adolescent residential unit. Within 48 hours of admission to the hospital participants completed structured clinical interviews assessing mental disorders and patterns of NSSI. Following the interviews, participants completed a self-report questionnaire assessing childhood abuse and a computerized continuous performance task. Consistent with study hypotheses, results revealed that the association between child abuse and NSSI is partially mediated by comorbidity. Although disinhibition is associated with comorbidity, contrary to our hypothesis, disinhibition does not mediate the relation between child abuse and NSSI. Collectively, these findings provide new information about how comorbidity may increase risk for NSSI, and critically, discuss the potential importance of creating targeted programs to reduce the prevalence of child abuse.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
3.6
作者：
Auerbach, Randy P.;Eberhart, Nicole K.;Abela, John R. Z.
通讯作者：
Abela, John R. Z.
DOI：
10.1176/appi.ajp.2009.08121825
发表时间：
2009-05
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Gunderson JG
通讯作者：
Gunderson JG
DOI：
10.1097/00004583-199912000-00009
发表时间：
1999-12-01
影响因子：
13.3
作者：
Brown, J;Cohen, P;Smailes, EM
通讯作者：
Smailes, EM
DOI：
10.1097/00004583-199703000-00012
发表时间：
1997-03-01
影响因子：
13.3
作者：
Bernstein, DP;Ahluvalia, T;Handelsman, L
通讯作者：
Handelsman, L